Lifeguard Ambulance Service of Illinois Inc.

NPI #1255832564 in Macomb, Illinois

Provider Information

NPI Number
1255832564
Entity Type
Organization
Organization Name
Lifeguard Ambulance Service of Illinois Inc.
Subpart
Yes (part of a larger organization)
Parent Organization
LIFEGUARD AMBULANCE SERVICE OF ILLINOIS INC.
Primary Specialty
Ambulance - Land Transport
Enumeration Date
Feb 22, 2018
Last Updated
Jun 25, 2024

Practice Location

Address
219 W JACKSON ST
City
Macomb
ZIP Code
61455
Phone
(866) 333-1665

Authorized Official

Name
TIMOTHY JOSEPH DORN, AO
Title
CHIEF ADMINISTRATIVE OFFICER
Phone
(833) 703-2294

Specialties & Taxonomy Codes

Specialty
Ambulance
Ambulance - Land TransportLand Transport

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